HomeMy WebLinkAbout08-31-11 (3) r'~ . "` -
BUREAU OF INDIVIDUAL TAXES
IN ~~~; ~ ~
NOTI E Pennsylvania ;~~~
OF INHERITANCE TAX
HERITANCE TAX DIVI;>ION
PO BOX 260601 ApF'RAIS'EM~EN3, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
HARRISBURG PA 17126-!1601 OF DEDUCTIONS,
,. AND ASSESSMENT OF TAX ON
REV-1548 EX AFP C12-10)
'"i! JpZNTLY HELD OR TRUST ASSETS
' J `_
DATE 08-29-2011
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`` ESTATE OF ALSBAUGH DAVID K
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~ DATE OF DEATH 05-16-2010
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i~ FILE NUMBER 21 10-0605
- - '. ~ ~ (~,~ COUNTY CUMBERLAND
SHARON A SHENK SSN/DC 193-36-2743
405 KAUFFMAN ST ACN 1D156024
BOILING SPRINGS PA 17007 APPEAL BY D14TE:10-28-2011
(See reverse side under Objections)
Amount Remitted)
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE ~"• RETAIN LOWER PORTION FOR YOUR RECORDS E'-~
----------------
REV-1548 EX AFP C12-10)------~----"-- " -------------------------,__
-------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE: 08-29-2011
ESTATE OF:ALSBAUGH DAVID K DATE OF DEATH:05-16-2010
COUNTY:CUMBERLAND
FILE NO.: 21 10-0605 S.S/D.C. NO.:
193-36-2743 ACN: 10156024
TAX RETIJRN WAS: CX) ACCEPTED AS FILED C ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WACHOVIA BK NA
TYPE OF ACCOUNT: C )SAVINGS CX) CHECKING C )TRUST AC )OUIME CERTIFICATE24152109
DATE ESTABLISHED 03-30-1981
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
PAYMENT RECEIPT
DATE NUMBER
2,382.17
X 0.166
397.04
.00
397.04
~ 15
59.56
DISCOUNT (+)
INTEREST/PEN PAID C-)
NOTE: TO ENSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE: ADDRESS. MAKE CHECK
OR MCINEY ORDER PAYABLE T0:
"REGISTER OF WILLS, AGENT."
AMOUNT PAIL]
INTEREST IS CHARGED THROUGH 09-06-2011
AT THE RATES APPLICABLE AS OUTLINED ON THE TOTAL TAX PAti'MENT .00
REVERSE SIDE OF THIS FORM BALANCE OF TAX DUE 59.56
INTEREST AND PEN. .99
TOTAL DUE 60.55
+ IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. +
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND.
SEE REVERSE SIDE OF' THIS FORM FOR INSTRUCTIONS.